Analysis of the current status and countermeasures for diagnosis and treatment in the epilepsy specialty clinic at a single-center comprehensive hospital in Lhasa,plateau region
10.3969/j.issn.1002-0152.2025.01.004
- VernacularTitle:高原拉萨单中心综合医院癫痫专病门诊癫痫诊治现况及对策分析
- Author:
Yuxiu CHEN
1
;
Weiwei ZHAO
;
Baizhen YIXI
;
Yuqing LIAN
;
Wenqing WANG
;
Yu HAO
;
Yang CI
;
Yuhua ZHAO
Author Information
1. 西藏大学医学院(拉萨 850000);西藏自治区人民医院神经内科
- Publication Type:Journal Article
- Keywords:
Plateau;
Epilepsy;
Outpatient;
Anti-seizure medications;
Diagnosis and treatment status;
Counter-measures
- From:
Chinese Journal of Nervous and Mental Diseases
2025;51(1):20-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective Exploring the clinical diagnosis and treatment status of epilepsy patients at the epilepsy specialty clinic in a single-center comprehensive hospital in the Lhasa area of the Tibetan Plateau.Methods Epilepsy patients who visited the epilepsy specialty clinic of the Department of Neurology at the Tibet Autonomous Region People's Hospital from September 2021 to June 2023 were continuously enrolled.Data such as clinical characteristics and diagnosis and treatment conditions of the enrolled patients was analyzed.Results A total of 121 patients were enrolled in this study,with 33.9%(41/121 cases)being new patients at our hospital and 6.6%(8/121 cases)being referred to our hospital.Non-adherence to treatment,with patients self-reducing or stopping medication without medical advice,accounted for 8.3%(10/121 cases)of the cases.The majority of epilepsy patients were in the young and middle-aged group,with 51.2%(62/121 cases)being between 18 and 44 years old.There were significant differences in the distribution of epilepsy patients across different age groups(P<0.001),while there was no significant difference in gender distribution(49.6%male vs.50.4%female,P>0.05).Generalized seizures were the predominant type of seizure(75.2%,91/121 cases),and 73.6%(89/121 cases)of the patients had an unknown etiology for their epilepsy,with symptomatic epilepsy accounting for 26.4%(32/121 cases)and structural causes being the most common at 24.8%(30/121 cases).Monotherapy was the main treatment for epilepsy(55.4%,67/121 cases),with sodium valproate being the most frequently prescribed drug for monotherapy at 22.3%(27/121 cases).Conclusion In the epilepsy specialty clinic in the plateau region,newly diagnosed patients account for about one-third,and over one-tenth of revisiting patients have not been receiving standardized treatment.The majority of our epilepsy patients are young to middle-aged adults.Generalized seizures are the predominant type.The etiology is unknown in the majority of cases,with structural causes being a common etiology in symptomatic epilepsy.Sodium valproate is the most frequently used antiseizure medication(ASM)in monotherapy in the plateau area.
